Well-being in major depression and social phobia with and without comorbidity

• Hanna Wersebe ^[1] ; Roselind Lieb ^[1] ; Andrea H. Meyer ^[1] ; Marcel Miche ^[1] ; Thorsten Mikoteit ^[1] ; Christian Imboden ^[1] ; Jürgen Hoyer ^[2] ; Klaus Bader ^[1] ; Martin Hatzinger ^[1] ; Andrew T. Gloster ^[1]
  1. [1] University of Basel

     University of Basel

     Basilea, Suiza

     
  2. [2] Dresden University of Technology

     Dresden University of Technology

     Kreisfreie Stadt Dresden, Alemania

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 18, Nº. 3, 2018, págs. 201-208
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2018.06.004
• Títulos paralelos:
  • Bienestar en depresión grave y fobia social con y sin comorbilidad
• Enlaces
  • Texto completo  1 (pdf)   2  
• Dialnet Métricas: 7 Citas
• Resumen
  • español

    Antecedentes/Objetivo : Se han observado niveles bajos de bienestar en individuos con depresión grave (DG) y fobia social (FS). Sin embargo, las comparaciones directas planifi- cadas con individuos controles que no padecen ningún trastorno mental son escasas. Además, la DG se suele presentar con trastornos de ansiedad, y la FS con trastornos depresivos. Este estudio es uno de los primeros en examinar las diferencias entre el bienestar en individuos con un diagnóstico clínico de DG o FS, comparados con individuos sin dicho diagnóstico y en comprobar las diferencias de bienestar dentro de cada categoría de diagnóstico en realación a individuos con y sin comorbilidad.

    Método : Participaron 119 individuos con un diagnóstico de DG, con base en la SCID, 47 con FS y 118 controles.

    Resultados : Los resultados revelaron que el bienestar general, así como el bienestar emocional, psicológico y social eran inferiores en el grupo de DG y FS en comparación con el grupo control. Los individuos con comorbili- dad informaron un menor bienestar que los individuos sin comorbilidad.

    Conclusiones : Estos resultados tienen repercusión clínica, pues la presencia de la comorbilidad puede requerir un acercamiento terapéutico diferente al de un único trastorno.

  • English

    Background/Objective : Lower levels in well-being have been observed in individuals with Major Depression (MDD) and Social Phobia (SP), but well-planned direct comparisons with control individuals, not suffering from a mental disorder, are lacking. Furthermore, MDD is highly comorbid with anxiety disorders, and SP with depressive disorders. This study is among the first to examine differences in well-being in individuals with a clinical diagnosis of MDD or SP compared to individuals with no such diagnosis and to test differences in well-being within the combined diagnostic categories respective with and without anxiety-depressive comorbidity.

    Method : Participants were 119 individuals with a diagnosis of MDD, 47 SP and 118 controls.

    Results : Results revealed that overall well-being as well as emotional, psychological, and social well-being were lower in the MDD and SP group compared to the control group. Individuals with comorbidity reported lower well-being than individuals without comorbidity.

    Conclusions :

    These findings have clinical implications as presence of comorbidity may require a different therapeutic approach than with no comorbidity.

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